Waller, Stephen C
Waller, Stephen C is an individual health care provider with primary practice located at 3901 Rainbow Boulevard 6067 Delp, Mail Stop 1028, Kansas City KS 66160. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Waller, Stephen C can be contacted via phone (913) 588-6035.Contact Information
Primary practice address
3901 Rainbow Boulevard 6067 Delp, Mail Stop 1028
Kansas City KS 66160
Phone: (913) 588-6035
Fax: (913) 945-6916
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 04-30882 | Kansas |
Profile Details
| NPI number | 1043313968 |
|---|---|
| LBN Legal business name | Waller, Stephen C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2006 |
| Last updated | May 8th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043313968 | NPPES |
| Kansas | MEDICAID | 200263690A | |
| Kansas | Other | 34056011 | |
| Kansas | Other | 580860 | |
| Kansas | MEDICAID | 205362312 |
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